मानसिक स्वास्थ्य नर्सिङ – Mental Health Nursing MCQ
मानसिक स्वास्थ्य नर्सिङ – अन्तर्राष्ट्रिय नर्सिङ
Mental Health Nursing · International Nursing (NCLEX-RN, DHA, HAAD) · ४०७ प्रश्न
४०७ प्रश्न उपलब्ध। मोड छान्नुहोस्:
मानसिक स्वास्थ्य नर्सिङ: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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Which of the following BEST describes the primary goal of assertive psychotherapy in treating personality disorders?
सही उत्तर: ख) To help the individual accept their maladaptive patterns and develop more adaptive coping strategies
Option 1 is incorrect as immediate elimination of problematic behaviors isn’t realistic. Option 2 accurately describes the core goal – acceptance and strategy development. Options 3 and 4 represent overly forceful or restrictive therapeutic approaches.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with major depressive disorder expresses feeling hopeless about their future. The nurse recognizes this as a symptom of depression. What is the BEST therapeutic response?
सही उत्तर: ग) ‘It's understandable you feel hopeless given your situation; I’m here to listen.’
Option 2 acknowledges the client's feelings while offering a gentle and realistic perspective focused on achievable steps. Option 1 is invalidating, option 3 offers empathetic listening which is valuable but doesn’t directly address hopelessness, and option 4, though good advice, shifts the focus away from the client’s current experience.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient presenting with symptoms of acute psychosis – disorganized thinking, hallucinations, and delusions - is admitted to a psychiatric unit. Which nursing intervention is MOST crucial in the initial assessment?
सही उत्तर: ग) Conducting a thorough mental status examination and assessing for suicidal/homicidal ideation
Option 2 is the most critical. Assessing the immediate risk of harm to the patient or others takes precedence. While medication, group resources (option 4) and initial stabilization are important, accurately assessing safety must come first. Options 1 & 3 are secondary to this initial assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client with paranoid schizophrenia reports hearing voices criticizing their appearance. The nurse’s best initial response should be:
सही उत्तर: ख) ‘Tell me more about what the voices are saying.’
Option 1 is best as it validates the client’s experience and opens communication. It avoids directly dismissing the voices, which can escalate distress. Options 2, 3 and 4 are less appropriate initially; they either attempt to discredit or distract from the core issue (the voices) without fully engaging with the client's subjective reality.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements BEST describes the role of a therapeutic community in treating personality disorders? a) A structured, individual therapy session focused on addressing specific maladaptive behaviors. b) An environment where clients support each other's growth through shared experiences and mutual accountability. c) A group setting primarily used for delivering psychoeducation about personality disorders. d) A technique involving the use of medication to stabilize mood swings in individuals with personality disorders.
सही उत्तर: ख) b) An environment where clients support each other's growth through shared experiences and mutual accountability.
Option B is correct. Therapeutic communities emphasize peer support, self-awareness, and responsibility within a supportive social context – core elements of treatment for personality disorders.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient with severe depression expresses thoughts of self-harm but denies intent. Which nursing intervention is MOST crucial? a) Immediately restrict the patient’s access to all potential means of harm. b) Validate the patient's feelings and offer empathy while exploring suicidal ideation. c) Encourage the patient to engage in activities they used to enjoy to distract them from their thoughts. d) Schedule a follow-up appointment with the psychiatrist for medication review.
सही उत्तर: ख) b) Validate the patient's feelings and offer empathy while exploring suicidal ideation.
Option B is correct – actively engaging, validating, and assessing intent is crucial when dealing with suicidal ideation. Immediate restriction (A) could escalate risk if the patient feels unsupported. Options C and D are important but less urgent than immediate assessment.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A client diagnosed with Schizophrenia exhibits disorganized speech, bizarre beliefs, and unusual motor behaviors. Which nursing intervention is MOST appropriate? a) Encourage the client to engage in structured activities to improve cognitive function. b) Maintain a safe environment for the client and their family while respecting the client’s delusions. c) Provide psychoeducation about the illness and its treatment options to the client's family. d) Implement behavioral interventions aimed at suppressing the client’s unusual behaviors.
सही उत्तर: ख) b) Maintain a safe environment for the client and their family while respecting the client’s delusions.
Option B is correct, focusing on safety and respect for delusional thinking. While other options have a role in support, ensuring safety is paramount. Options A and C are secondary to immediate needs.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes *transference* in psychodynamic theory? a) The patient’s conscious awareness of their feelings and thoughts. b) The unconscious redirection of feelings from one person to another, often originating in early relationships. c) The patient’s ability to objectively analyze their own behavior. d) The therapist's influence on the patient's beliefs and values.
सही उत्तर: ख) b) The unconscious redirection of feelings from one person to another, often originating in early relationships.
Option B is correct. Transference describes the unconscious projection of past relational experiences onto the current therapeutic relationship, particularly with the therapist. Options A, C, and D describe other concepts in psychodynamic theory.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A patient experiencing acute anxiety presents with rapid heart rate, hyperventilation, and trembling. The nurse's *first* action should be to: a) Administer a benzodiazepine medication immediately. b) Provide reassurance and encourage slow, deep breathing techniques. c) Assess the patient’s medical history for potential contributing factors. d) Document the patient’s symptoms in detail.
सही उत्तर: ख) b) Provide reassurance and encourage slow, deep breathing techniques.
Option B is correct as it represents immediate, appropriate intervention for acute anxiety – calming techniques. Option A is premature, as medication should be considered after initial reassurance. Option C is important but secondary to immediate symptom management. Option D is a necessary step, but not the priority action.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A nurse is caring for a patient exhibiting signs of Delirium – fluctuating alertness, disorganized thinking, and disorientation. Which statement BEST reflects the nurse's approach to managing this patient’s condition?
सही उत्तर: घ) Minimize stimulation and reduce environmental noise
Minimizing stimulation and reducing environmental noise is the most effective strategy for managing delirium symptoms. The other options can exacerbate confusion due to increased demands on cognition or disruption of routines.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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